Korean Journal of Adult Nursing (성인간호학회지)

Korean Society of Adult Nursing (한국성인간호학회)
권호 표지
DOI QR코드

DOI QR Code

Factors Influencing Uncertainty in Dialysis Patient by Duration of Dialysis

투석기간에 따른 투석 환자의 불확실성 요인

  • Received : 2012.08.30
  • Accepted : 2012.12.08
  • Published : 2012.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study was to describe the uncertainty, depression, physical symptom, and family support among patients undergoing dialysis. Further, the factors that impact uncertainty were also examined. Methods: A convenience sample of 145 patients who received dialysis was selected. A descriptive correlation study was conducted. Data were collected using structured questionnaires and the collected data were analyzed using descriptive statistics and multiple regression analysis. Results: The patient who received more than five years of dialysis reported higher levels on inconsistency of uncertainty than patient with less than five years. These latter patients' reported uncertainty was positively correlated with depression, whereas, patients family support was correlated with uncertainty. The group's uncertainty with less than five years of dialysis explained about 13% of the variance. In contrast, variables of education level, family support, and monthly income were predictors of uncertainty and explained 33% of the variation. Conclusion: These results can provide for nursing intervention to facilitate reduction of uncertainty. To provide dialysis period-sensitive nursing intervention for uncertainty among dialysis patient, depression should be considered below five years. While factors such as education level, family support, and monthly income should be taken into account over five years.

Keywords

References

  1. Ahn, H. O. (2008). The fatigue and physical symptoms of patients after hemodialysis. Unpublished master's thesis, Hanyang University, Seoul.
  2. Cho, O. H. (2000). Uncertainty, anxiety and coping with mastectomy for breast cancer. Journal of Korean Academy of Nursing, 30 , 1006-1017. https://doi.org/10.4040/jkan.2000.30.4.1006
  3. Choi, Y. H. (1985). An experimental study of the effects of supportive nursing intervention on family support behavior and sick role behavior. The Korean Nurse, 24 (4), 10-20.
  4. Chung, C. W., Kim, M J., Rhee, M. H., & Do, H. G. (2005). Functional status and pyschosocial adjustment in gynecologic cancer patients receiving chemotherapy. Korean Journal of Women Health Nursing, 11, 58-66.
  5. Cukor, D., Coplan, J., Brown, C., Fridman, S., Smith, A. C., Peterson, R. A., et al. (2007). Depression and anxiety in urban hemodialysis patients. Journal of American Society Nephrology, 2 , 484-490. http://dx.doi.org/10.1681/ASN.2007030345
  6. Go, A. R. (2004). The relationships of meaning in life, uncertainty and anxiety in patient with chronic renal failure. Unpublished master's thesis, Catholic University of Pusan, Busan.
  7. Hong, Y. J., Ock, J. H., Kong, J. M., Kim, Y. G., & Kim, J. G. (2002). A comparative study concerning the psychopathologies between the patients with chronic renal those with chronic hepatitis. Journal of Korean Neuropsychiatry Association, 41 , 486-497.
  8. Joo, J. L., & Park, O. J. (1996). A study on the quality of life and perceived family support in dialysis patients. Korean Journal of Adult Nursing, 8 , 16-28.
  9. Kim, Y. J., & Choi, H. J. (2012). The influence of uncertainty and social support on general well-being among hemodialysis patients. The Korean Journal of Rehabilitation Nursing, 15 , 20-29. http://dx.doi.org/10.7587/kjrehn.2012.20
  10. Kimmel, P. L., Peterson, R. A., Weihs, K. L., Simmens, S. J., Alleyne, S., Cruz, I., et al. (2000). Multiple measurements of depression predict mortality in a longitudinal study of chronic hemodialysis outpatients. Kidney International, 57 , 2093- 2098. https://doi.org/10.1046/j.1523-1755.2000.00059.x
  11. Korean Society of Nephrology [KSN]. (2011). Current renal replacement therapy in Korea. Retrieved December, 20, 2011, from http://www.ksn.or.kr/journal/2011/index.html.
  12. Lee, H. Y., Schepp, K. G., & Jung, Y. M. (2008). Testing a theoretical model predicting uncertainty and depression in patients undergoing renal replacement therapy in Korea. Asian Nursing Research, 2 , 92-101. https://doi.org/10.1016/S1976-1317(08)60033-X
  13. Lee, M. S., Kim, H. J, & Suh, S. R. (2008). Uncertainty and nursing need according to illness phases in cancer patients. Journal of Korean Academy of Adult Nursing, 20 , 1-9.
  14. Lee, S. G. (2003). A research on public administrative strategies of activating participation in workplace for the people in chronic renal failure. Journal of Korean Social Welfare Administration, 10 , 223-249.
  15. Lee, Y. J., Ham, E. M., & Kim, K. S. (2001). A correlation study on uncertainty, coping and depression of cancer patients. Journal of Korean Academy of Nursing, 31, 244-256. Madar, H., & Bar-Tal, Y. (2009). The experience of uncertainty among patients having peritoneal dialysis. Journal of Advanced Nursing, 65 , 1664-1669. http://dx.doi.org/10.1111/j.1365-2648.2009.05013.x
  16. Mishel, M. H. (1988). Uncertainty in illness. Image: The Journal of Nursing Scholarship, 20 , 225-232. https://doi.org/10.1111/j.1547-5069.1988.tb00082.x
  17. Mishel, M. H. (1999). Uncertainty in chronic illness. Annal Review of Nursing Research, 17 , 269-294.
  18. Oh, W. O. (2006). Uncertainty in parents of children with cancer. Paju: Korean Studies Information.
  19. Parker, K. P. (2003). Sleep disturbance in dialysis patients. Sleep Medicine Reviews, 7 , 131-143. http://dx.doi.org/10.1053/smrv.2001.0240
  20. Reichsman, F., & Levy, N. B. (1972). Problems in adaptation to maintenance hemodialysis. Archives of Internal Medicine, 130, 859-865. https://doi.org/10.1001/archinte.1972.03650060051009
  21. Shaha, M., Cox, C. L., Talman, K., & Kelly, D. (2008). Uncertainty in breast, prostate and colorectal cancer: Implications for supportive care. Journal of Nursing Scholarship 40 , 60-67. https://doi.org/10.1111/j.1547-5069.2007.00207.x
  22. Shin, M. J. (1996). Experience of hemodialysis in the chronic renal failure clients. Journal of Korean Academy of Fundamentals of Nursing, 30 , 235-246.
  23. Shong, O. H. (1977). A study of the self-rating depression scale (SDS) on psychiatric out-clinic patients. Journal of the Korean Neuropsychiatric Association, 16 , 84-94.
  24. The National Health Insurance Corporation [NHIC](2011). Rare disease. Retrieved November, 10, 2011, from http://www.nhic.or.kr.
  25. Tong, A., Sainsbury, P., Chadban, S., Walker, R. G., Harris, D. C., Carter, S. M., et al. (2009). Patients' experiences and perspectives of living with CKD. American Journal of Kidney Diseases, 53 , 689-700. http://dx.doi.org/10.1053/j.ajkd.2008.10.050
  26. Walton, J. (2002). Finding a balance: A grounded theory study of spirituality in hemodialysis patients. Nephrology Nursing Journal, 29 , 447-457.
  27. Yang, J. C., Lim, S. Y., & Choi, K. C. (2004). Psychopathology, Family support system and quality of life in parents with chronic renal failure. The Korean Journal of Nephrology, 23 , 476-483.
  28. Yoon, S. H. (2008). A study on psychosocial adaptation and quality of life depending on the dialytic period of hemodialysis cases. Unpublished master's thesis, Sahmyook University, Seoul.
  29. Zung, W. W. (1965). A self-rating depression scale. Archives of General Psychiatry, 12 , 63-70. https://doi.org/10.1001/archpsyc.1965.01720310065008

Cited by

  1. Influence of Uncertainty and Uncertainty Appraisal on Self-management in Hemodialysis Patients vol.45, pp.2, 2015, https://doi.org/10.4040/jkan.2015.45.2.271
  2. 혈액투석환자의 질병 불확실성, 우울, 생리지표와 기본심리욕구와의 관계 vol.15, pp.10, 2012, https://doi.org/10.14400/jdc.2017.15.10.281
  3. 장기혈액투석환자의 투석경험 vol.19, pp.4, 2012, https://doi.org/10.5762/kais.2018.19.4.265
  4. 투석치료 중인 만성신부전 환자의 영양지식 수준과 식사요법 실천 정도 및 교육요구도 vol.24, pp.2, 2018, https://doi.org/10.14373/jkda.2018.24.2.117
  5. 저온투석이 혈액투석환자의 투석안정성, 피로감, 소양증과 투석적절도에 미치는 영향 vol.4, pp.4, 2012, https://doi.org/10.17703/jcct.2018.4.4.11
  6. Mediating Effects of Self-Care Competence on the Relationship between Uncertainty and Quality of Life in Hemodialysis Patients vol.32, pp.1, 2020, https://doi.org/10.7475/kjan.2020.32.1.67
  7. 혈액 투석 환자의 불확실성, 극복력, 간호사의 의사소통 유형이 자가간호에 미치는 영향 vol.27, pp.3, 2020, https://doi.org/10.5953/jmjh.2020.27.3.268